Most Relevant Information
Provider Data
| NPI Number: | 1003344722 |
| Provider Name: | MARK KWAKU GYAU LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 328653-1 |
Most Important Dates
| Enumeration Date: | 05/25/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
20 W MOSHOLU PKWY S APT 15B
BRONX
NY
104681131
Practice Location Phone/Fax
| Phone: | 7188656658 |
| Fax: |
Provider Mailing Location
20 W MOSHOLU PKWY S APT 15B
BRONX
NY
104681131
Provider Mailing Phone/Fax
| Phone: | 7188656658 |
| Fax: |